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从一个社区驱动的数字社交联系试点项目中汲取的经验教训:与主要利益相关者的定性访谈研究,对象为患有痴呆症的人群。

Lessons learnt from a community-driven digital social connection pilot program for people living with dementia: A qualitative interview study with key stakeholders.

机构信息

Grampians Health, Ballarat, Victoria, Australia.

University of Newcastle, Callaghan, New South Wales, Australia.

出版信息

Aust J Rural Health. 2023 Dec;31(6):1229-1239. doi: 10.1111/ajr.13052. Epub 2023 Oct 14.

Abstract

INTRODUCTION

In response to COVID-19 and mandated physical distancing, a new digital social connection program was developed and implemented by the local community in a large regional town in western Victoria, Australia. This pilot program, the Digital Inclusion-Social Connections (DI-SC) program, aimed to support people living with dementia to use a digital device to access social connection activities.

OBJECTIVE

The objective of this study is to inform the local community implementing the DI-SC program of key stakeholder experience of DI-SC process and outcomes to support future development and potential translation of digital social connections programs for people living with dementia.

DESIGN

Three semi-structured focus groups and two interviews were conducted with a total of fifteen participants. Data was transcribed verbatim and thematically analysed.

FINDINGS

Three main themes were identified describing factors as influencing the process and outcomes of the DI-SC program: understanding dementia; personal choice and control; and service planning and coordination. Six sub-themes were identified: matching capability; establishing a relationship; creating opportunities for different interactions; ownership of the device, program coordination and defining the volunteer digital mentor role.

CONCLUSION

Key stakeholders perceived the DI-SC program as an acceptable way of supporting people living with dementia to engage in activities they found enjoyable promoting social connection with care partners and others. DI-SC program outcomes were impacted by inappropriate training and a lack of program coordination. The findings of this study may inform future development and implementation of digital social connection programs for vulnerable populations at risk of social isolation.

摘要

简介

为应对 COVID-19 和强制性的物理隔离,澳大利亚维多利亚州西部一个大型地区城镇的当地社区开发并实施了一个新的数字社交联系计划。该试点计划名为数字包容-社交联系(DI-SC)计划,旨在支持患有痴呆症的人使用数字设备来参与社交联系活动。

目的

本研究的目的是向当地实施 DI-SC 计划的社区告知关键利益相关者对 DI-SC 过程和结果的体验,以支持未来为痴呆症患者开发和潜在转化数字社交联系计划。

设计

共对 15 名参与者进行了三次半结构化焦点小组和两次访谈。对数据进行了逐字转录和主题分析。

结果

确定了三个主题,描述了影响 DI-SC 计划过程和结果的因素:了解痴呆症;个人选择和控制;以及服务规划和协调。确定了六个子主题:匹配能力;建立关系;创造不同互动的机会;设备的所有权、计划协调和界定志愿者数字导师的角色。

结论

利益相关者认为 DI-SC 计划是一种可以接受的方式,可以支持患有痴呆症的人参与他们觉得愉快的活动,促进与护理伙伴和其他人的社交联系。DI-SC 计划的结果受到培训不当和计划协调不足的影响。本研究的结果可能为易受社交孤立风险的弱势人群的数字社交联系计划的未来开发和实施提供信息。

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